Ermelindo Puente - Assuming Office 2004
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CALlFORN 11\ FORM 700
FAIR POLITICAL PRACTiCeS COMMISSION
(MIDDLE)
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print In Ink
A Public Document
NAME
(lAST)
(FIRST)
u 11 Te
MAILING ADDRESS STREET
(May be business addl1lss)
?~
:n
STAle ZIP CODE
OP11ONAL: FAX I E-MAIL ADDRESS
1. Office, Agency or Court
Name of Office, Agency or Court:
C \ It:\; ~ F (b.r J-.. r 0 I-
Division, B6ard, District, if applicable: .
P L q YI n; V1~ COm m /5 5J~h
Your Position: t?
CfJ in/h / 5 S ;' () n e r
_ If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency: CO-
Position:
~lufl(
2. Jurisdiction of Office (Check at least one box)
o State
o County of
ill City of G,,. I ro 't
o Multi-County
o Other
3. Type of Statement (Check at least one box)
161 Assuming Office/Initial Date: ~~~y
~-Annual: The period covered is January 1, 2003,
'?) through December 31, 2003.
-or-
C The period covered is ---1---1_. through
December 31. 2003.
o Leaving Office Date Left: ---1---1_
(Check one)
o The period covered is January 1, 2003, through
the date of leaving office.
-or-
C The period covered is ---1---1_. through
the date of leaving office.
o Candidate
4. Schedule Summary
(Check applicable schedules or "'No repombl. Interests. .,
_ During the reporting period, did you have any reportable
interests to disclose on: ·
Schedule A-1 0 Yes - schedule attached
Investments (u.s; lhan 10% O~)
Schedule A-2 0 Yes - schedule attached
Investments (10% or gma/Dr O~p)
Schedule B
Real Property
DYes - schedule attached
Schedule C 0 Yes - schedule attached
Income & Business Positions (Income 0Iher Ihan loaM, Gills, and 1laveI}
Schedule D 0 Yes - schedule attached
Income .l Loans
Schedule E 0 Yes - schedule attached
Income - Gifts
Schedule F 0 Yes - schedule attached
Income - - Travel Payments
-or-
_ ~ No reportable interests on any schedule
Total number of pages
completed including this cover page:
I
5. Verification
I have used all reasonable diligence in preparing this
statement. I have reviewed this statement and to the best of
my knowledge the information contained herein and in any
attached schedules is true and complete.
I certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
Date Signed
/-30 - CP4
(month, day, year)
Signature
(
(2003/2004)
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